GENETIC
IMPLICATION OF ENDOGAMY
NEWS: Endogamy
— a major cause for health disparity in India, says CSIR-CCMB study
 
WHAT’S
IN THE NEWS?
A recent study led by CSIR-Centre for Cellular and Molecular Biology (CCMB)
has focused on understanding the genetic consequences of endogamy in India. The
study highlights the genetic implications of this practice, especially its
contribution to inbreeding and the emergence of genetic disorders within
specific populations.
 
About
Endogamy:
 - Definition of
     Endogamy
 
 
  - Endogamy
      is the practice of marrying within a specific community, group, or social
      class, rather than marrying outside one’s immediate social circle or
      ethnic group.
 
  - This
      practice is common in many parts of the world, including India, and has
      been prevalent in various cultures, including caste-based communities,
      where marriage tends to occur within the same caste or group.
 
 
 - Impact of Endogamy
     on Genetic Diversity
 
 
  - Inbreeding: Continuous endogamy leads to higher degrees of
      inbreeding, where individuals marry close relatives or members of the
      same community over generations.
 
  - Genetic
      Pool: The
      limited genetic pool resulting from inbreeding increases the likelihood
      of inheriting genetic disorders, as harmful recessive genes that may be
      rare in a larger population become more prominent within a smaller gene
      pool.
 
 
 - Consequences of
     Endogamy
 
 
  - Over
      time, endogamous practices reduce genetic diversity within communities,
      making them more susceptible to certain inherited diseases.
 
  - It
      also reduces the population’s ability to adapt to environmental changes,
      as genetic variation is essential for evolutionary progress and
      resistance to diseases.
 
 
 
Key
Findings of the Study:
 - Study Details
 
 
  - The
      research involved analyzing 281 high-coverage whole-exome sequences from
      four anthropologically distinct populations across India. Whole-exome
      sequencing is a technique that focuses on the protein-coding regions of
      the genome, which are believed to have the most impact on health and
      disease.
 
  - The
      study aimed to assess the extent of inbreeding within these populations
      and the emergence of genetic variants associated with specific diseases.
 
 
 - Genetic Variations
     Linked to Population-Specific Diseases
 
 
  - The
      study found that genetic variations linked to certain diseases are more
      prevalent in specific communities due to the high levels of endogamy.
      This suggests a relationship between inbreeding and the emergence of
      genetic disorders that may be rare in the general population but more
      common in isolated communities.
 
 
 - Incidence of
     Ankylosing Spondylitis in the Reddy Community
 
 
  - One
      significant finding of the study was the higher incidence of ankylosing
      spondylitis, a type of arthritis that primarily affects the spine,
      within the Reddy community in Andhra Pradesh.
 
 
 
  - This
      condition is genetically linked, and its increased prevalence in
      endogamous populations indicates the role of inbreeding in exacerbating
      the genetic predisposition to this disease.
 
 
 - Pharmacogenomic
     Findings
 
 
  - Pharmacogenomics: The study also examined pharmacogenomic markers,
      which are genetic variations that affect how individuals metabolize and
      respond to medications.
 
  - It
      was found that there are significant differences in how different Indian
      populations metabolize common drugs. These variations can influence the
      effectiveness of treatments and the risk of adverse drug reactions.
 
 
 - Drugs Affected by
     Genetic Variations
 
 
  - Tacrolimus: This is an immunosuppressive drug used to prevent
      organ rejection in transplant patients. The study found variations in how
      different populations metabolize tacrolimus, which could impact its
      efficacy and safety.
 
  - Warfarin: This anticoagulant drug, used to prevent blood
      clots, was also found to have different metabolic rates in various
      populations. The study suggests that genetic differences could affect how
      individuals respond to warfarin, leading to either excessive bleeding or
      insufficient anticoagulation.
 
 
 
Pharmacogenomic
Markers:
 - Definition of
     Pharmacogenomic Markers
 
 
  - Pharmacogenomic
      markers are specific genetic traits that influence how individuals
      respond to drugs. These markers can indicate whether a drug will be
      effective, what dosage is appropriate, and the risk of adverse side
      effects.
 
  - These
      markers may include differences in the DNA or RNA sequences that encode
      for drug-metabolizing enzymes, drug transporters, or the drug's target
      molecules within the body.
 
 
 - Types of
     Pharmacogenomic Markers
 
 
  - Genetic
      Variants:
      These are differences in the DNA sequence that affect how enzymes or
      transporters involved in drug metabolism work. For example, some genetic
      variants can lead to slower or faster metabolism of certain drugs.
 
  - Gene
      Expression Levels:
      Variations in how much of a certain gene is expressed can also affect
      drug response. High or low expression levels of genes can influence how
      effectively the body processes and responds to medications.
 
 
 - Applications of
     Pharmacogenomic Markers
 
 
  - Personalized
      Medicine:
      Pharmacogenomic markers are increasingly used in personalized medicine,
      which tailors drug treatments based on an individual’s genetic makeup.
      This ensures that the patient receives the most effective medication with
      the least risk of side effects.
 
  - Drug
      Development:
      Identifying genetic markers that predict drug responses can help
      pharmaceutical companies develop more effective drugs. These markers can
      guide the creation of drugs that are more suited to the genetic profiles
      of specific populations.
 
 
 
Conclusion:
The study by CSIR-CCMB underscores the genetic consequences of endogamy in
India, including its role in increasing inbreeding and genetic disorders. It
also highlights the need for personalized medicine, where understanding genetic
differences in drug metabolism can lead to more effective and safer treatments
for individuals from different populations.
 
Source: https://www.thehindu.com/news/national/telangana/endogamy-a-major-cause-for-health-disparity-in-india-says-csir-ccmb-study/article69290229.ece